@extends('frontend.app.master')
@section('content')
    <div class="clients">
        <div class="container">
            <div class="row">
                <div class="client_details">
                  <h1 class="text-center text-white">STANDARD Clients Registration</h1>
                  @if (session()->has('success'))
                      <div class="alert alert-success">
                        {{session()->get('success')}}
                      </div>
                  @endif
                  @if ($errors->any())
                      <div class="alert alert-danger">
                          <ul>
                              @foreach ($errors->all() as $error)
                                  <li>{{ $error }}</li>
                              @endforeach
                          </ul>
                      </div>
                  @endif
                    <form action="{{route('admin.standard.store')}}" method="POST" enctype="multipart/form-data" class="text-center">
                        @csrf
                        {{-- @method('post') --}}
                        <div class="mb-2 row">
                          <label for="emp_picture" class="col-sm-2 col-form-label">Picture</label>
                          <div class="col-sm-10">
                            <input type="file" name="emp_picture" class="form-control" value="{{old('emp_picture')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="code" class="col-sm-2 col-form-label">Code</label>
                          <div class="col-sm-10">
                            <input type="input" name="code" class="form-control" value="{{old('code')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="name" class="col-sm-2 col-form-label">Name</label>
                          <div class="col-sm-10">
                            <input type="input" name="name" class="form-control" value="{{old('name')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="phone_1" class="col-sm-2 col-form-label">Phone-1</label>
                          <div class="col-sm-10">
                            <input type="number" name="phone_1" class="form-control" value="{{old('phone_1')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="phone_2" class="col-sm-2 col-form-label">Phone-2</label>
                          <div class="col-sm-10">
                            <input type="number" name="phone_2" class="form-control" value="{{old('phone_2')}}">
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="phone_3" class="col-sm-2 col-form-label">Phone-3</label>
                          <div class="col-sm-10">
                            <input type="number" name="phone_3" class="form-control" value="{{old('phone_3')}}" >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="email" class="col-sm-2 col-form-label">Email</label>
                          <div class="col-sm-10">
                            <input type="email" name="email" class="form-control" value="{{old('email')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="address" class="col-sm-2 col-form-label">Address</label>
                          <div class="col-sm-10">
                            <textarea name="address" id="" cols="90" rows="3" value="{{old('address')}}"  >{{old('address')}}</textarea>
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="education" class="col-sm-2 col-form-label">Education</label>
                          <div class="col-sm-10">
                            <input type="text" name="education" class="form-control" value="{{old('education')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="profession" class="col-sm-2 col-form-label">Profession</label>
                          <div class="col-sm-10 text-left">
                            <select name="profession" class="form-control" id=""  value="">
                              <option value="">Select Profession</option>
                              <option {{old('profession') == 'Doctor' ? "selected" :""}} value="Doctor">Doctor</option>
                              <option {{old('profession') == 'Engineer' ? "selected" :""}} value="Engineer">Engineer</option>
                              <option {{old('profession') == 'Business Man' ? "selected" :""}} value="Business Man">Business Man</option>
                              <option {{old('profession') == 'Government Officer' ? "selected" :""}} value="Government Officer">Government Officer</option>
                              <option {{old('profession') == 'Private Firm' ? "selected" :""}} value="Private Firm">Private Firm</option>
                              <option {{old('profession') == 'Immigrant' ? "selected" :""}} value="Immigrant">Immigrant</option>
                              <option {{old('profession') == 'Industrialist' ? "selected" :""}} value="Industrialist">Industrialist</option>
                            </select>
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="Gender" class="col-sm-2 col-form-label">Gender</label>
                          <div class="col-sm-10 text-left">
                            <div class="form-check form-check-inline">
                              <input class="form-check-input" type="radio" name="gender" {{old('gender') == 'Male' ? "checked" :""}} id="inlineRadio1" value="Male">
                              <label class="form-check-label" for="inlineRadio1"><i class="fas fa-male mr-2"></i> Male</label>
                            </div>
                            <div class="form-check form-check-inline">
                              <input class="form-check-input" type="radio" name="gender" {{old('gender') == 'Female' ? "checked" :""}} id="inlineRadio2" value="Female">
                              <label class="form-check-label" for="inlineRadio2"><i class="fas fa-female mr-2"></i> Female</label>
                            </div>
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="marital_status" class="col-sm-2 col-form-label">Marital Status</label>
                          <div class="col-sm-10 text-left">
                            <div class="form-check form-check-inline">
                              <input class="form-check-input" type="radio" name="marital_status" {{old('marital_status') == 'Single' ? "checked" :""}} id="inlineRadio1" value="Single">
                              <label class="form-check-label" for="inlineRadio1"> Single</label>
                            </div>
                            <div class="form-check form-check-inline">
                              <input class="form-check-input" type="radio" name="marital_status" {{old('marital_status') == 'Divorce' ? "checked" :""}} id="inlineRadio2" value="Divorce">
                              <label class="form-check-label" for="inlineRadio2"> Divorce</label>
                            </div>
                            <div class="form-check form-check-inline">
                              <input class="form-check-input" type="radio" name="marital_status" {{old('marital_status') == 'Widow' ? "checked" :""}} id="inlineRadio2" value="Widow">
                              <label class="form-check-label" for="inlineRadio2"> Widow</label>
                            </div>
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="religion" class="col-sm-2 col-form-label">Religion</label>
                          <div class="col-sm-10 text-left">
                            <select name="religion" id=""  value="">
                              <option value="">Select Religion</option>
                              <option {{old('religion') == 'Islam' ? "selected" :""}} value="Islam">Islam</option>
                              <option {{old('religion') == 'Hinduism' ? "selected" :""}} value="Hinduism">Hinduism</option>
                              <option {{old('religion') == 'Buddha' ? "selected" :""}} value="Buddha">Buddha</option>
                              <option {{old('religion') == 'Khristian' ? "selected" :""}} value="Khristian">Khristian</option>
                            </select>
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="agreement_copy" class="col-sm-2 col-form-label">Agreement Copy</label>
                          <div class="col-sm-10">
                            <input type="file" name="agreement_copy" class="form-control" value="{{old('agreement_copy')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="membership_fee" class="col-sm-2 col-form-label">Membership Fee</label>
                          <div class="col-sm-10">
                            <input type="number" name="membership_fee" class="form-control" value="{{old('membership_fee')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="advance" class="col-sm-2 col-form-label">Advance</label>
                          <div class="col-sm-10">
                            <input type="number" name="advance" class="form-control" value="{{old('advance')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="due" class="col-sm-2 col-form-label">Due</label>
                          <div class="col-sm-10">
                            <input type="number" name="due" class="form-control" value="{{old('due')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="meeting_fee" class="col-sm-2 col-form-label">Meeting Fee</label>
                          <div class="col-sm-10">
                            <input type="number" name="meeting_fee" class="form-control" value="{{old('meeting_fee')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="service_charge" class="col-sm-2 col-form-label">Service Charge</label>
                          <div class="col-sm-10">
                            <input type="number" name="service_charge" class="form-control" value="{{old('service_charge')}}"  >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="member_joining_date" class="col-sm-2 col-form-label">Member Joining Date</label>
                          <div class="col-sm-10">
                            <input type="date" name="member_joining_date" class="form-control" value="{{old('member_joining_date')}}" >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="membership_validity" class="col-sm-2 col-form-label">Membership Validity</label>
                          <div class="col-sm-10">
                            <input type="date" name="membership_validity" class="form-control" value="{{old('membership_validity')}}" >
                          </div>
                        </div>

                        <div class="mb-2 row">
                          <label for="clients_cv" class="col-sm-2 col-form-label">Clients CV</label>
                          <div class="col-sm-10">
                            <input type="file" name="clients_cv" class="form-control" value="{{old('clients_cv')}}" >
                          </div>
                        </div>

                        <div class="mb-3 row">
                          <div class="col-md-2">
                            
                          </div>
                          <div class="col-md-10 text-left mb-2">
                            <div class="regi_button">
                              <button class="btn btn-success rg-button">Registration</button>
                            </div>
                          </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
@endsection